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Back

Claims Specialist - Commercial Auto, Property and General Liability

#4781

Multiple Locations

Apply

Job Description:

Job Description:

Investigates, evaluates, reserves and resolves Commercial Automobile, First Party Property and General Liability claims for self-insured and unbundled clients. Provides a superior level of customer service to internal and external business partners. Administers and resolves claims for TPA clients in a timely manner and in accordance with client, company and regulatory guidelines.

Responsibilities:

Promptly investigates all assigned claims for coverage, liability, damages, subrogation and contribution. Ensures timely disposition of all claims in accordance with client, regulatory and statutory requirements.

Within granted authority, establishes appropriate loss and expense reserves with documented rationale. Maintains and adjusts reserves over the life of the claim to reflect changes in exposure. Notifies appropriate claims management and clients when exposure exceeds authority. Negotiates claims resolution within granted authority.

Establishes and executes appropriate action plans for claim resolution including loss cost management while achieving appropriate balance between allocated expense and loss outcome.

Works collaboratively with the client and internal and external business partners in investigating and reaching appropriate disposition of all claims.

Selects and manages service vendors to achieve appropriate balance between allocated expense and loss outcome.

Maintains a working knowledge of regulatory and jurisdictional requirements for assigned claims territory.

Demonstrates technical proficiency through timely, consistent execution of best claim practices and established claims handling guidelines.

Communicates effectively with internal and external customers on claims and account issues. Provides a high degree of customer service.

Maintain and manage a diary system and claim pending to efficiently and effectively resolve all claims.

Potential local travel.

Demonstrate commitment to Company's Code of Business Conduct and Ethics, and apply knowledge of compliance policies and procedures, standards and laws applicable to job responsibilities in the performance of work.

#LI-Remote

Requirements:

Requirements:

FL and/or TX License required plus NY license highly desired or ability to obtain NY license.

Bachelor's' degree and a minimum of 3 years of progressively responsible experience handling Commercial Automobile, First Party Property and General Liability claims required.

Experience handling PA, NJ and DE claims.

Familiarity with coverage, negligence principles, investigation and negotiation techniques.

Obtains and maintains state adjusting licenses, as needed. Ensures that all state-required Continuing Education Credits are obtained as needed to maintain license.

Strong organizational skills and detail oriented.

Ability to work independently, handle multiple tasks simultaneously and exercise good judgment.

Working knowledge of Auto, Liability and Property claims handling practices.

Excellent verbal and written communication skills.

Excellent customer service skills.

Computer literacy, including working knowledge of MS Office including Word, Excel and PowerPoint.

","shortDescription","

Position is responsible for preparing services rendered by medical, dental, and mobile clinics for billing multiple entities via electronic or paper claims. Reviews and resolves current electronic rejected/invalid submissions for correction. Post adjustment timely and accurately from insurance and self-pay. Submit all claims to appropriate secondary carrier.
Essential Job Responsibilities:
Prepares and submits clean claims to various insurance companies (both medical and dental) either electronically or by paper;
Answers questions from patients and insurance companies;
Helps prepare, review and send patient statements;
Follows and reports status of delinquent accounts;
Makes recommendations to A/R Specialist for delinquent accounts for write offs;
Performs various collection actions correcting and resubmitting claims to third party payers;
Investigates and corrects rejected claims as requested by A/R Specialist;
Helps with billing for Show Me Healthy Women/WISE programs;
Refer patients to A/R Specialist for payment plans;
Helps with Monthly reports;
Helps with training of front desk staff to reduce errors/denials;
Helps with Financial audit;
Helps with credentialing of providers;
Other duties as assigned;
Skills:
Excellent knowledge of medical/dental billing practices
Highly Organized
Responsible
Responds to customer service calls in a professional manner
Attention to detail
Ability to maintain strict confidentiality and adhere to all HIPAA guidelines
Knowledge of Microsoft Office Products

","Medical Billing Specialist

Position is responsible for preparing services rendered by medical, dental, and mobile clinics for billing mult...","Billing Specialist",[89],["B","3523631323"],"Work at Four Rivers Community Health Center","/jobs/3523631323-billing-specialist","Rolla, MO, United States","/jobs?keyword=Four+Rivers+Community+Health+Center","/jobs?location=Rolla%2C+MO%2C+United+States","/jobs?keyword=Billing+Specialist",{"_66":67,"_68":90,"_70":91,"_72":92,"_74":93},"Rolla","Rolla, MO, United States, 65401","MO","65401",["D",1777266000000],"Fourrivers","General Summary

Position is responsible for preparing services rendered by medical, dental, and mobile clinics for billing multiple entities via electronic or paper claims. Reviews and resolves current electronic rejected/invalid submissions for correction. Post adjustment timely and accurately from insurance and self-pay. Submit all claims to appropriate secondary carrier.
Essential Job Responsibilities

Prepares and submits clean claims to various insurance companies (both medical and dental) either electronically or by paper.
Answers questions from patients and insurance companies.
Helps prepare, review and send patient statements.
Follows and reports status of delinquent accounts.
Makes recommendations to A/R specialist for delinquent accounts for write-offs.
Performs various collection actions correcting and resubmitting claims to third party payers.
Investigates and corrects rejected claims as requested by A/R Specialist.
Helps with billing for Show Me Healthy Women/WISE programs.
Refer patients to A/R Specialist for payment plans.
Helps with monthly reports.
Helps with training of front desk staff to reduce errors/denials.
Helps with financial audit.
Helps with credentialing of providers.
Other duties as assigned.
Skills

Excellent knowledge of medical/dental billing practices.
Highly organized.
Responsible.
Responds to customer service calls in a professional manner.
Attention to detail.
Ability to maintain strict confidentiality and adhere to all HIPAA guidelines.
Knowledge of Microsoft Office products.

#J-18808-Ljbffr
","General Summary

Position is responsible for preparing services rendered by medical, dental, and mobile clinics for billing multiple entiti...",[103],["B","3523557354"],"Work at Fourrivers","/jobs/3523557354-billing-specialist","/jobs?keyword=Fourrivers",{"_66":67,"_68":90,"_70":91,"_72":92,"_74":93},["D",1777399200000],"Universal Health Services, Inc.","Responsibilities

Atlantic Region CBO:
The Atlantic Region Central Billing Office (\"ARCBO\") or (\"CBO\") provides business office services including billing, collections, cash posting, pre-access management, variance, and customer service to our affiliated Universal Health Services hospitals.
atlantic-region-cbo

The Atlantic Region CBO is seeking a dynamic and talented

Medicaid Billing Specialist .

The Medicaid Billing Specialist is responsible for the accurate and timely editing, preparation, submission of electronically and manually processed claims to third party payers in accordance with policies and procedures.

Key Responsibilities include:
Completes all third party electronic and manual billing timely and accurately in accordance with appropriate rules and regulations.
Completes all payer specific edits identified through the billing system.
Resolves issues associated with incomplete claims including follow up of non-transmitted claims.
Submit adjustment claims to Medicaid through use of online systems.
Attaches appropriate documents when billing manual claims including ER reports, itemized bills, implant invoices and other medical records.
Bulk mails all manual claims to individual payers daily.
Works all daily reports as assigned.
Records daily productivity of claims billed and assures proper documentation in the notes of the patient accounting systems
Completes all monthly required in-services andeducational training as required.
Other duties as assigned

Benefit & Rewards Highlights:
Challenging and rewarding work environment
Competitive Compensation & Generous Paid Time Off
Excellent Medical, Dental, Vision and Prescription Drug Plans
401(K) with company match and discounted stock plan
SoFi Student Loan Refinancing Program
Career development opportunities within UHS and its 300+ Subsidiaries!
Pet Insurance
More information is available on our Benefits Guest Website: benefits.uhsguest.com

About Universal Health Services:

One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues during 2025 were $17.4 billion. In 2026, UHS was again recognized as one of Fortune World's Most Admired Companies and in 2025, was listed in Forbes ranking of America's Largest Public Companies.

Headquartered in King of Prussia, PA, UHS has approximately 101,500 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 40 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. For additional information visit www.uhs.com.

From Fortune, 2025, 2026 Fortune Media IP Limited. All rights reserved. Used under license.

Qualifications

Position Requirements:
High School Diploma or equivalent and 1-3 years billing experience preferred.
Strong Microsoft Office skills (Excel, Word, Outlook)
Customer focused both internally and externally
Strong attention to detail
The ability to multi-task, strong 10 key data entry, and excellent written and oral communication skills are required.
Familiarity with medical billing and 1-3 years healthcare business office experience preferred.
EEO Statement:
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

Avoid and Report Recruitment Scams:

We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.
If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.
","Responsibilities

Atlantic Region CBO:
The Atlantic Region Central Billing Office (\"ARCBO\") or (\"CBO\") provides business office service...","Medicare Billing Specialist",[118],["B","3521857126"],"Work at Universal Health Services, Inc.","17 hours ago","/jobs/3521857126-medicare-billing-specialist","Richmond, VA, United States","/jobs?keyword=Universal+Health+Services%2C+Inc.","/jobs?location=Richmond%2C+VA%2C+United+States","/jobs?keyword=Medicare+Billing+Specialist",{"_66":67,"_68":119,"_70":120,"_72":121,"_74":122},"Richmond","Richmond, VA, United States, 23214","VA","23214",["D",1777280400000],"Alan B. Miller Medical Center","Medicaid Billing Specialist

The Atlantic Region Central Billing Office (ARCBO) or (CBO) provides business office services including billing, collections, cash posting, pre-access management, variance, and customer service to our affiliated Universal Health Services hospitals. The Atlantic Region CBO is seeking a dynamic and talented Medicaid Billing Specialist. The Medicaid Billing Specialist is responsible for the accurate and timely editing, preparation, submission of electronically and manually processed claims to third party payers in accordance with policies and procedures.
Key Responsibilities include:
Completes all third party electronic and manual billing timely and accurately in accordance with appropriate rules and regulations.
Completes all payer specific edits identified through the billing system.
Resolves issues associated with incomplete claims including follow up of non-transmitted claims.
Submit adjustment claims to Medicaid through use of online systems.
Attaches appropriate documents when billing manual claims including ER reports, itemized bills, implant invoices and other medical records.
Bulk mails all manual claims to individual payers daily.
Works all daily reports as assigned.
Records daily productivity of claims billed and assures proper documentation in the notes of the patient accounting systems.
Completes all monthly required in-services and educational training as required.
Other duties as assigned
Benefit & Rewards Highlights:
Challenging and rewarding work environment
Competitive compensation & generous paid time off
Excellent medical, dental, vision and prescription drug plans
401(K) with company match and discounted stock plan
SoFi student loan refinancing program
Career development opportunities within UHS and its 300+ subsidiaries!
Pet insurance
More information is available on our Benefits Guest Website: benefits.uhsguest.com
About Universal Health Services:
One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues during 2025 were $17.4 billion. In 2026, UHS was again recognized as one of Fortune World's Most Admired Companies and in 2025, was listed in Forbes ranking of America's Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 101,500 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 40 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom.
Qualifications Position Requirements:
High School Diploma or equivalent and 1-3 years billing experience preferred.
Strong Microsoft Office skills (Excel, Word, Outlook)
Customer focused both internally and externally
Strong attention to detail
The ability to multi-task, strong 10 key data entry, and excellent written and oral communication skills are required.
Familiarity with medical billing and 1-3 years healthcare business office experience preferred.
EEO Statement: All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
","Medicaid Billing Specialist

The Atlantic Region Central Billing Office (ARCBO) or (CBO) provides business office services including billin...",[132],["B","3523402376"],"Work at Alan B. Miller Medical Center","/jobs/3523402376-medicare-billing-specialist","/jobs?keyword=Alan+B.+Miller+Medical+Center",{"_66":67,"_68":119,"_70":120,"_72":121,"_74":122},211,"name","Mansueto Ventures","agency","logo","https://production-rails-default.s3.us-east-2.amazonaws.com/public/legacy-logos/109473.JPG","slug","mansueto-ventures-careers","

Mansueto Ventures is home to two of the most iconic and vibrant brands in business publishing: Inc. and Fast Company. Every day, the content, awards, and events produced help entrepreneurs and innovators succeed by providing useful insights, sparking essential conversations, and offering much-needed inspiration.

Inc. is the voice of the American entrepreneur, inspiring and documenting the risk-takers and ultra-driven go-getters who represent the most dynamic force in the American economy.
Fast Company is the world’s leading business media brand, focusing on innovation in technology, leadership, and design to inspire readers to shape the future of business.

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","descriptionText","Medicaid Specialist Memorial Health System Analyzes, investigates, and resolves claims/billing information and/or errors associated with inpatient and outpatient Medicaid claims. Ensures compliance with Medicaid guidelines and MMC organizational policies. Embodies the Memorial Health System P Specialist, Processing, Claims, Billing, Technology, Healthcare, Patient, Payment","Analyzes, investigates, and resolves claims/billing information and/or errors associated with inpatient and outpatient Medicaid claims. Ensures com...",[191],"Memorial Health System","salaryMin","salaryMax","salaryDescription","url","https://us.thebigjobsite.com/redirectfeedjob?jobid=280F5EA8E0E2C54DD2B3A8411EF36F7E&source=mediabistroxmlus&utm_source=mediabistroxmlus&jobSiteKey=552ED4CB232E37127C03015C65415680","companyDescription","companyWebsite","Work at Memorial Health System","isManualPosted","costPerClick",0.15,"/jobs/3523113989-medicaid-specialist","fullUrl","https://www.mediabistro.com/jobs/3523113989-medicaid-specialist","strippedDescription","Analyzes, investigates, and resolves claims/billing information and/or errors associated with inpatient and outpatient Medicaid claims. Ensures compliance with Medicaid guidelines and MMC organizational policies. 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